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General NPI Number Information
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NPI Number | 1114798410
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Entity Type | Individual
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Provider Name | TAMISHA ROGERS RT
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Gender | Female
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 727 N MAIN ST
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City | EMPORIA
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State | VA
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Zip | 23847-1274
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Country | US
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Telephone | 434-348-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 19 WOODMERE DR APT D
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City | PETERSBURG
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State | VA
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Zip | 23805-2144
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Country | US
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Telephone | 804-319-9683
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 0117003787
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License Number State | VA
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